Should I have a cystoscopy for frequent, painful urination?

Frequent urination, urinary urgency and urinary pain do not necessarily require cystoscopy. Specific should be the actual situation of the patient. Frequent urination, urinary urgency, urinary pain for bladder irritation symptoms, most commonly seen in benign prostatic hyperplasia, urinary tract infections, urinary tract tumors. When urinary system tumor is suspected, cystoscopy with biopsy is usually recommended. 1. Benign prostatic hyperplasia: there are symptoms of bladder irritation, usually manifested as increased frequency of nocturia, which can be further clarified by perfecting the ultrasound examination of the urinary system, and the symptoms will be improved after taking finasteride and tamsulosin hydrochloride. 2. Urinary system infection: most of the urinary pain, accompanied by frequent urination, urinary urgency, etc., routine urinalysis suggests that the urine leukocytes increase, urine nitrite positive, given antibiotics (such as moxifloxacin) anti-infection treatment, the symptoms will improve or even disappear. 3. Urological tumor: when the tumor appears to be compressed, bladder irritation symptoms will appear, need to improve pelvic CT/MRI, tumor markers, cystoscopy + biopsy, etc. to clarify the condition. All the above drugs need to pay attention to the side effects and adverse reactions of drugs, please use the above drugs under the guidance of a doctor. Bladder irritation symptoms can occur in many urinary tract diseases. When symptoms of bladder irritation occur, non-invasive tests are usually performed first to clarify the condition, and then cystoscopy is considered when diagnosis is difficult.